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Organization

NORTHEAST TRI COUNTY HEALTH DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID A WINDOM (ADMINISTRATOR)
(509) 684-1301
Entity
Organization

Contact information

Practice address
240 E DOMINION AVE, POB 270, COLVILLE, WA 99114-2732
(509) 684-1301
(509) 684-1002
Mailing address
240 E DOMINION AVE, COLVILLE, WA 99114-2732
(509) 684-1301
(509) 684-1002

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1008520
WA
Enumeration date
10/26/2006
Last updated
02/03/2015
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